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Sekadar info.. sbb sy pernah alaminya, so sy nak jdkan ia sbg panduan for my future..

What should I do if I notice spotting or bleeding when I'm pregnant?

Call your doctor or midwife right away, even if the bleeding seems to have stopped. While it may turn out to be something minor, it could be a sign of a serious problem. What your healthcare practitioner does next will depend on your individual situation.
You'll probably need an evaluation, which may include a physical exam, an ultrasound, and blood tests, to make sure you and your baby are fine and to rule out any complications.
If you're actively bleeding or have severe pain of any kind and can't immediately reach your practitioner, head straight for the emergency room.

How is spotting different from bleeding?

Spotting is very light bleeding, similar to what you may have at the very beginning or end of your period. It can vary in color from pink to red to brown (the color of dried blood).

What can cause spotting or bleeding?

It's not always possible to determine the reason behind prenatal spotting or bleeding. Here are some of the most common causes:
Sex
More blood flows to your cervix during pregnancy, so it's not unusual to notice spotting after intercourse. A cervical polyp (a benign growth on the cervix) can also cause spotting or bleeding after sex.
A Pap smear or internal exam
You may have spotting after you've had a Pap smear or internal exam for the same reasons – greater blood flow to the cervix or a cervical polyp.  
Implantation bleeding
Very early in pregnancy, even before you realize you're pregnant, you may have some spotting for a day or two. This bleeding may be caused by the fertilized egg burrowing into the wall of your uterus, but no one knows for sure.
Miscarriage or ectopic pregnancy
Spotting or bleeding, especially if accompanied by abdominal pain or cramping, can be an early sign of miscarriage or an ectopic pregnancy (when the embryo implants outside the uterus, usually in one of the fallopian tubes). An ectopic pregnancy can be life-threatening, which is one of the reasons it's important to let your practitioner know immediately if you have bleeding or pain in your first trimester.
Up to a quarter of pregnant women have some spotting or bleeding in early pregnancy, and about half of these women miscarry. But if you have an ultrasound that shows a normal heartbeat between 7 and 11 weeks, your chances of continuing the pregnancy are greater than 90 percent.
Infections
Spotting can also be caused by conditions unrelated to pregnancy. A vaginal infection (such as a yeast infection or bacterial vaginosis) or a sexually transmitted infection (such as trichomoniasis, gonorrhea, chlamydia, or herpes) can cause your cervix to become irritated or inflamed. An inflamed cervix is particularly prone to spotting after sex or a Pap smear.
Placental problems or premature labor
In the second or third trimester, bleeding or spotting can be a sign of a serious condition such as placenta previa, placental abruption (in which the placenta separates from the uterus), a late miscarriage (between 13 weeks and midpregnancy), or premature labor (which can happen between midpregnancy and 37 weeks).
Even first-trimester bleeding may be a sign of an underlying problem with the placenta. Research shows a link between early pregnancy bleeding and a greater chance of later complications, such as preterm delivery or placental abruption, particularly if the bleeding is heavy.
Nearing labor
If your cervix begins to dilate as your body prepares for labor you may pass your mucus plug. It may be tinged with blood, which is why it's also referred to as "bloody show."
If you've made it to 37 weeks, passing your mucus plug is not a cause for concern. However, if there's more than a tinge of blood, or you have any other spotting or bleeding, be sure to call your practitioner.

Note: If your blood is Rh-negative, you'll need a shot of Rh immune globulin if you have vaginal spotting or bleeding unless you know for sure that the baby's father's blood is also Rh-negative or it's clear that the bleeding is not coming from the uterus.